Evidence map›Paper›PMID 40025417›Full record

ArticleBMC pregnancy and childbirth2025

Disrespect and abuse during childbirth and associated factors among women: a cross-sectional study.

Zari Dolatabadi, Leila Amiri Farahani, Zahra Zargar, Shima Haghani, Seyedeh Saeedeh Mousavi

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Zari DolatabadiDepartment of Reproductive Health and Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Leila Amiri FarahaniDepartment of Reproductive Health and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Zahra ZargarDepartment of Midwifery and Reproductive Health, School of Nursing and Midwifery, Iran University of Medical Sciences, Rashid Yasemi St. Valiasr St, Tehran, Iran.
Shima HaghaniDepartment of Biostatistics, Iran University of Medical Sciences, Tehran, Iran.
Seyedeh Saeedeh MousaviDepartment of Midwifery and Reproductive Health, School of Nursing and Midwifery, Iran University of Medical Sciences, Rashid Yasemi St. Valiasr St, Tehran, Iran. saeedehmousavi310@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRespectful maternity care is a fundamental right for all women. However, reports of disrespect and abuse are prevalent in various childbirth settings. This study aimed to assess the disrespect and abuse experienced by women during childbirth and associated factors in Comprehensive health centers of Tehran, Iran.

methodsThis study employed a cross-sectional design to investigate the prevalence of disrespect and abuse among women who had recently delivered vaginally. The sample comprised 300 mothers who gave birth within the last five days in Tehran, Iran. Data collection occurred between April and September 2021 using a two-stage cluster sampling method and systematic random sampling technique. A demographic and midwifery questionnaire, alongside the Disrespect and Abuse Questionnaire, was used to collect data. Data were analyzed using SPSS version 26 at 95% significance level.

resultsThis study revealed a high prevalence of disrespect and abuse, with 68.3% of mothers experiencing at least one form from the seven identified dimensions. When examining the factors contributing to the increase in disrespect and abuse, it was observed that Turk women had a 67% lower prevalence of disrespect and abuse compared to Fars women (OR: 0.339). Women with unwanted pregnancies were 2.3 times more likely to experience disrespect and abuse during labor (OR: 2.317). the prevalence of disrespect and abuse was 88% lower in women who received care from a physician compared to those who were attended by a midwife (OR: 0.129). Experience of disrespect and abuse increased 7.1 times when the mother was unaware of who was responsible for her care (OR: 7.190). Women without a companion during labor experienced 74% less disrespect and abuse compared to women who had a companion (OR: 0.263). Finally, women who did not undergo instrumental delivery had a 92% reduction in the incidence of abuse (OR: 0.088).

conclusionThis study revealed a high prevalence of disrespect and abuse during childbirth. All mothers should experience consistent and utmost respect throughout childbirth. The execution of respectful care must be the responsibility of all healthcare providers.

Indexed as

Delivery, ObstetricParturitionProfessional-Patient RelationsRespectAdultCross-Sectional StudiesFemaleHumansIranMaternal Health ServicesMidwiferyPregnancyPrevalenceSurveys and QuestionnairesYoung AdultAbuseChildbirthDisrespectRespectful maternity care

Identifiers

PMID40025417
PMCPMC11871645

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.